18D2074461 CLIA NUMBER - PIKEVILLE MEDICAL CENTER SPECIALTY CLINIC AT WHITESBURG

Home > CLIA Lookup > 18D2074461

Laboratory Demographics

CLIA Number: 18D2074461

Facility Name: PIKEVILLE MEDICAL CENTER SPECIALTY CLINIC AT WHITESBURG

Facility Address:
107 MEDICAL PLAZA LANE
WHITESBURG, KY
ZIP 41858
Get Directions

Facility Phone Number: 606 633-7355

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871575498

Taxonomy: 261QS1200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D2074461
LAB Type	Physician Office
Facility Name	PIKEVILLE MEDICAL CENTER SPECIALTY CLINIC AT WHITESBURG
Street	107 MEDICAL PLAZA LANE
City	WHITESBURG
State	KY
ZIP	41858
Phone	606 633-7355
CertificateType	4
CertificateEffectiveDate	3/10/2024
CertificateExpirationDate	3/9/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024